Whalio Doctors

NPI 1356633721

Staci Renee Thomas, CNM

Practitioner Advanced Practice Midwife Jackson, TN

Practice location

Address
2863 Highway 45 Byp, Jackson, TN 38305-3618
Phone
(731) 660-8300
Fax
(731) 660-8301
Mailing address
PO Box 400, Jackson, TN 38302-0400

Registered specialties

Advanced Practice Midwife Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 15826 (TN)

Registry record

NPI
1356633721
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 May 2011
Record last updated
17 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.